Individual
CORTNEY K MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
315 E BROADWAY FL 4, LOUISVILLE, KY 40202
(502) 629-2500
(502) 629-2055
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-6217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007673
KY
363LF0000X
Family Nurse Practitioner
71004254A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20115800
—
IN
01
—
28206048A
LICENSE
IN
01
—
3007673
LICENSE
KY
05
—
7100244890
—
KY
01
—
71004254A
LICENSE
IN
Enumeration date
10/04/2012
Last updated
12/18/2020
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